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Medicare Claims Analyst Jobs (NOW HIRING)

Lumeris

Sr. Claims Analyst

Saint Louis, MO · On-site

Position: Sr. Claims Analyst Position Summary: Serves as a senior resource on a team responsible ... Advanced knowledge of Medicare/MAO claims processing experience * Advanced knowledge of ...

Lumeris, Inc.

Sr. Claims Analyst

Saint Louis, MO · On-site

Position: Sr. Claims Analyst Position Summary: Serves as a senior resource on a team responsible ... Advanced knowledge of Medicare/MAO claims processing experience * Advanced knowledge of ...

1 Legacy, Inc

Manager I Claims

Doral, FL

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Highly developed quantitative and qualitative analytical skills. Highly developed project ...

CareSet Systems

Mid-level SQL PHP Developer

Houston, TX · On-site

$65K/yr

We build products that decode Medicare claims data to guide new drug launches for pharmaceutical ... Data science, statistics and/or graph analysis would be great as well Additional Information ...

1 Legacy, Inc

Manager I Claims

Doral, FL · On-site

Assure timely and accurate processing of Medicare claims and encounters, and respond to provider ... Highly developed quantitative and qualitative analytical skills. Highly developed project ...

CareSet Systems

Mid-level SQL PHP Developer

Houston, TX · On-site

$65K/yr

We build products that decode Medicare claims data to guide new drug launches for pharmaceutical ... Data science, statistics and/or graph analysis would be great as well Additional Information ...

Lumeris

Sr. Claims Analyst (Remote)

Saint Louis, MO · Remote

Position: Sr. Claims Analyst (Remote) Position Summary: Serves as a senior resource on a team ... Advanced knowledge of Medicare/MAO claims processing experience * Advanced knowledge of ...

New

CareSet Systems

SAS Statistician

Houston, TX · On-site

$95K/yr

Decode 10+ years of Medicare claims for 50 million patients to extract insights about patients ... Analytical - Makes sense of data and draws convincing analyses from it * Attention to detail ...

CareSet Systems

SAS Statistician

Houston, TX · On-site

$95K/yr

Decode 10+ years of Medicare claims for 50 million patients to extract insights about patients ... Analytical - Makes sense of data and draws convincing analyses from it * Attention to detail ...

STI

Epic PB, HB and Claims Analyst

... Medicare exhaust billing No-pay claims. Claim splits/interim claims. Cash Management Self-pay ... depth analysis of current and future workflows, data collection, report details, and other ...

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Medicare Claims Analyst information

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How much do medicare claims analyst jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for medicare claims analyst in the United States is $27.39, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $31.49 per hour, depending on experience, location, and employer.

What does a Medicare Claims Analyst do?

A Medicare Claims Analyst reviews, processes, and evaluates Medicare claims to ensure they comply with government regulations and payer policies. They analyze medical records, verify patient eligibility, and assess claim accuracy to prevent fraud or errors. Additionally, they communicate with healthcare providers, insurance companies, and beneficiaries to resolve claim disputes or discrepancies. Their role helps ensure timely and accurate reimbursements while maintaining compliance with Medicare guidelines.

What skills and qualifications are needed to be a Medicare Claims Analyst?

To thrive as a Medicare Claims Analyst, you need strong analytical skills, a solid understanding of medical billing and coding, and familiarity with Medicare regulations, often supported by a relevant degree or certification such as Certified Professional Coder (CPC). Experience with claims management software, electronic health records (EHRs), and Medicare processing systems is typically required. Attention to detail, critical thinking, and clear communication are standout soft skills in this field. These capabilities are crucial to accurately processing claims, ensuring compliance, and helping healthcare organizations receive proper reimbursements.

What challenges do Medicare Claims Analysts face in their day-to-day work?

Medicare Claims Analysts often encounter complex or ambiguous claims that require thorough investigation and careful interpretation of Medicare guidelines. Keeping up-to-date with frequent policy changes and varying payer requirements can be challenging and demands a high level of adaptability and continuous learning. The role may also involve managing a significant workload with tight deadlines, requiring strong organizational skills. However, working with medical, billing, and compliance teams provides collaborative opportunities and support, helping analysts address these challenges efficiently.

How much do Medicare Claims Analysts make in the US?

Medicare Claims Analysts in the US typically earn an average salary ranging from $45,000 to $65,000 per year, depending on experience, location, and certifications. Entry-level positions may start lower, while experienced analysts with specialized skills can earn higher salaries. The role often requires knowledge of healthcare billing, claims processing, and familiarity with Medicare policies.

How to become a Medicare Claims Analyst?

To become a Medicare Claims Analyst, candidates typically need a bachelor's degree in health administration, healthcare management, or a related field. Relevant skills include knowledge of Medicare policies, claims processing, and data analysis, often supported by certifications such as the Certified Professional Coder (CPC) or Certified Claims Professional (CCP). Gaining experience through internships or entry-level roles in healthcare billing or claims processing can also be beneficial.

Is claims processing a stressful job?

Medicare Claims Analysts often work in a fast-paced environment where accuracy and attention to detail are essential, which can lead to stress, especially during high-volume periods or when resolving complex claims. The job typically involves working with claims management software and adhering to strict deadlines, but stress levels vary depending on workload and organizational support.
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What states have the most Medicare Claims Analyst jobs?

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What job categories do people searching Medicare Claims Analyst jobs look for?

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Medicare Claims Analyst jobs near you
Infographic showing various Medicare Claims Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 76% In-person, and 24% Remote job distribution, with an average salary of $56,974 per year, or $27.4 per hour.

QA Analyst with Facets Claims experience

Cognizant Technology Solutions

Englewood, CO • On-site

$53K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Cognizant rating

7.2

Company rating: 7.2 out of 10

Based on 86 frontline employees who took The Breakroom Quiz

53rd of 72 rated business consultants

Job description

About the role
As a QA Analyst with Facets Claims experience, you will make an impact by ensuring the quality, accuracy, and performance of healthcare payer claims processing applications. You will be a valued member of the Quality Engineering team and work collaboratively with business stakeholders, Facets configuration teams, developers, and testing teams to support large-scale healthcare transformation and Facets migration initiatives.
In this role, you will:
  • Perform end-to-end testing of Facets Claims processing applications to ensure business and system requirements are met.
  • Execute large-scale parallel testing activities, validating claim adjudication results between legacy platforms and Facets.
  • Validate Medicare claims processing workflows, configurations, and business rules within the Facets platform.
  • Conduct backend testing and data validation using SQL, claims data analysis, and database queries.
  • Design, develop, and execute functional, integration, regression, and system test cases and test scenarios.
  • Analyze high-volume claims processing results and identify defects, inconsistencies, and data issues.
  • Support defect triage, root cause analysis, retesting, and validation of production-ready solutions.
  • Collaborate closely with business users, Facets configuration teams, and development teams to ensure successful delivery of testing objectives.

Work model
We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations
What you need to have to be considered
  • Strong hands-on experience in Facets Claims testing.
  • Deep understanding of healthcare payer claims adjudication processes and claims lifecycle management.
  • Experience performing both front-end and backend validation within Facets Claims applications.
  • Strong SQL skills with proven experience performing database and data validation testing.
  • Experience testing Medicare Claims processing workflows and business rules.
  • Ability to work independently in a hands-on testing environment with minimal supervision.
  • Experience supporting large-scale Facets migration or healthcare transformation programs.
  • Strong analytical, troubleshooting, and defect management skills.

These will help you stand out
  • Knowledge of 837 and 835 EDI transactions.
  • Experience supporting Federal healthcare programs, including CMS and Medicare initiatives.
  • Exposure to test automation frameworks and methodologies.
  • Experience with healthcare data migration testing and data reconciliation activities.
  • Familiarity with Agile delivery methodologies and healthcare regulatory requirements.

We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
Salary and Other Compensation:
The annual salary for this position is between $53,477 to 92,500 depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] for roles based in the Americas or [email protected] for roles based in India.

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